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Dear Patient,

patient surveyWe want to know how we can improve our services to you and how you perceive our surgery and staff. 

We've set up a virtual patient representation group so that you can have your say. We will email you a succinct survey twice a year, so it shouldn’t take too much of your time.

We'd like 100 people from all age groups backgrounds and ethnicities to join us  to get a truly representative sample. patients with long term conditions are particularly welcome

complete the form Complete the Patient Group Sign-up Form Online


download the pdf form Download the pdf version of our sign up form  and email to

Many Thanks for your participation.

The information you supply us will be used lawfully, in accordance with the Data Protection Act 1998 and GDPR. The Data Protection Act 1998 gives you the right to know what information is held about you and sets out rules to make sure that this information is handled properly.

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